Testosterone Replacement Therapy
Testosterone Therapy for Men in Denver
Low testosterone is one of the most under-diagnosed and under-treated conditions in men's health. Dr. Kenton Bruice MD offers comprehensive TRT programs — physician-supervised, bioidentical, and built around your specific lab values and goals.
The Condition
What Is Low Testosterone?
Testosterone is the primary male sex hormone — responsible for muscle mass, bone density, red blood cell production, libido, mood, cognitive function, and much more. After peak levels in the mid-20s, testosterone declines roughly 1–2% per year.
By age 45, up to 40% of men have clinically low testosterone. By age 70, the majority do. Yet a large proportion of these men are never tested, or are told their levels are "fine" based on outdated reference ranges that equate "average" with "optimal."
Dr. Bruice takes a different approach. He looks at optimal lab values — the ranges associated with peak health, not mere statistical averages — and assesses both total and free testosterone to get a complete picture.
The result is a far more accurate diagnosis and a treatment plan calibrated to actually make you feel like yourself again.
Common Symptoms of Low Testosterone
Experiencing several of these symptoms? A comprehensive hormone panel will show exactly where you stand.
TRT Options
Testosterone Delivery Methods Compared
Each method has distinct advantages. Dr. Bruice helps you choose based on your labs, lifestyle, and preference.
Testosterone Pellets
Most PopularPellets are rice-grain-sized cylinders of compressed bioidentical testosterone inserted just under the skin of the upper buttock. They dissolve slowly over months, releasing a steady stream of hormone. This is the delivery method Dr. Bruice most frequently recommends for its convenience and consistency.
Advantages
- Inserted once every 4–6 months
- Delivers steady, consistent levels 24/7
- No daily dosing or application
- Levels mirror the body's natural rhythm
- No risk of transferring to family members
Considerations
- Minor in-office procedure required
- Dosing not adjustable after insertion
Testosterone Injections
Highly EffectiveIntramuscular or subcutaneous injections of bioidentical testosterone cypionate or enanthate are administered weekly or biweekly. Many patients self-inject at home after a brief training session. Injections allow Dr. Bruice to fine-tune dosing precisely based on lab results.
Advantages
- Precise dose control at every administration
- Can be self-administered at home
- Well-studied with decades of clinical data
- Cost-effective option
Considerations
- Weekly or biweekly administration required
- Levels may peak and trough between injections
Testosterone Cream / Gel
FlexibleCompounded testosterone cream is applied to the inner wrists, shoulders, or scrotum daily. It is a convenient option for men who prefer to avoid injections or procedures. Dr. Bruice uses compounded preparations — not commercial gels — for superior dosing flexibility.
Advantages
- Applied daily — no needles
- Easy dose adjustments
- Good absorption when applied correctly
Considerations
- Must be applied daily
- Risk of skin-to-skin transfer to partners or children
- Absorption can vary
Energy
Significantly improved
Libido
Restored to prior levels
Muscle Mass
Easier to build & maintain
Body Fat
Reduced, esp. abdominal
Mood
More stable and positive
Cognitive Function
Sharper focus & memory
Sleep Quality
Deeper, more restorative
Bone Density
Preserved over time
Expected Outcomes
What Optimized Testosterone Feels Like
When testosterone is restored to an optimal range — not just "within normal limits," but genuinely optimal — men typically describe a transformation that touches every area of their health and daily life.
The changes are not subtle. Energy that was once depleted by noon sustains through the day. The drive and motivation that had faded return. Physical performance in the gym and in the bedroom improves. Mental clarity sharpens.
Most patients tell Dr. Bruice they feel like themselves again — or better than they have in years.
Common Questions
Testosterone Therapy FAQ
What testosterone level is considered "low"?
Conventional lab reference ranges often list anything above 300 ng/dL as "normal" — but many men feel significantly symptomatic in the 300–500 range. Dr. Bruice evaluates both total and free testosterone alongside your symptoms. Optimal, not just normal, is the goal.
Will TRT affect my fertility?
Exogenous testosterone can suppress sperm production by reducing LH and FSH. If fertility preservation is a concern, Dr. Bruice may recommend alternative protocols such as HCG or Clomiphene to maintain testicular function while supporting testosterone levels.
Is testosterone therapy safe long-term?
When properly supervised — with regular lab monitoring of hematocrit, PSA, lipids, and hormone levels — TRT has a strong long-term safety record. Dr. Bruice monitors all patients closely and adjusts protocols based on ongoing labs.
How quickly will I feel results?
Many men notice improved energy and mood within the first 2–4 weeks. Libido and sexual function often improve within 3–6 weeks. Body composition changes (more muscle, less fat) typically become evident over 3–6 months.
Will my body stop making testosterone on its own?
Testosterone therapy does suppress natural production via negative feedback. This is expected and managed. For men not concerned with fertility, this is not clinically problematic. For those who want to preserve natural production, Dr. Bruice has specific protocols.
Does testosterone cause prostate cancer?
Decades of research have not established a causal link between TRT and prostate cancer. Dr. Bruice monitors PSA at regular intervals and screens appropriately. Men with active prostate cancer are not candidates for TRT.
Safety First
How Dr. Bruice Monitors Your TRT Safely
Baseline Lab Panel
Comprehensive testing before any therapy begins — testosterone, PSA, hematocrit, lipids, metabolic markers, and more.
Follow-Up Labs at 6–8 Weeks
Initial response testing to verify levels are achieving target range and to identify any parameters needing adjustment.
Ongoing Quarterly Monitoring
Regular lab reviews track hematocrit (polycythemia risk), PSA, lipids, and hormone levels to ensure continued safety.
PSA Surveillance
Prostate-specific antigen is monitored throughout therapy. Men with elevated PSA or high-risk profiles are evaluated accordingly.
Hematocrit Management
TRT can increase red blood cell production. Dr. Bruice monitors closely and manages through dose adjustment or therapeutic phlebotomy if needed.
Protocol Adjustment
Dosing and delivery method are adjusted based on lab response and symptom resolution. This is an ongoing, evolving relationship — not a one-time prescription.
Find Out Where Your Testosterone Stands
A single blood test can tell you whether low testosterone is driving your symptoms. Schedule a consultation with Dr. Bruice in Denver, Aspen, or St. Louis — and take the first step toward feeling better.
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